JOCELYN STAGEN ROMASANTA


Address: 2325 N Mobile Ave, Chicago, IL 60639-2625
Phone: 3122822410

JOCELYN STAGEN ROMASANTA (NPI# 1326503434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326503434
Entity Type Individual
Full Name JOCELYN STAGEN ROMASANTA
Credential LCPC
Practice Address 2325 N Mobile Ave
Chicago
IL 60639-2625
Practice Telephone 3122822410
Mailing Telephone 3122822410
Enumeration Date 2019-02-02
Last Update Date 2019-02-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 2325 N MOBILE AVE
City CHICAGO
State IL
Zip Code 60639-2625

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60639

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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